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Why Practice Coaching

This presentation explores the complexities of quality improvement in chronic disease management within primary care. It discusses the multifaceted role of practice coaches as facilitators, conveners, and problem solvers who motivate healthcare teams to adopt change. The strategies for effective coaching are outlined, covering task setting, quality improvement methods, and the integration of IT support. The session emphasizes the need for tailored coaching approaches to enhance chronic care delivery and examines the potential of coaching as a means to support healthcare reform initiatives.

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Why Practice Coaching

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  1. Facilitating Chronic Disease Improvement in Primary CareCindy BrachCenter for Delivery, Organization, and MarketsSeptember 14, 2009

  2. Why Practice Coaching Quality improvement is elusive. • Redesign is complex • Change management expertise • Focus • Tailoring

  3. Coaches’ Multiple Roles • Facilitator • Convener • Agenda Setter and Task Master • Skill Builder • Knowledge Broker • Sounding Board • Problem Solver • Change Agent

  4. What Coaches Do • Set the stage • Infrastructure • Vision and goals • Motivate • Concrete Tasks • QI methods training • Tool identification • IT technical support • Measurement

  5. Coaching Models Vary • Duration and Intensity • Qualifications of coaches • External vs. internal coaches • Level of prescriptiveness • Mode (in-person, telephone, Web) • Collaborative components

  6. An Old Idea with New Appeal? • Been around at least 25 years (e.g., Fullard et al. BMJ. 1984; 289:1585) • Emphasis on improving chronic care • Lever to implement health care reform?

  7. Presenters • Darren DeWalt, MD, MPH – IPIP • Elizabeth Stewart, PhD – TransforMed • Shinyi Wu, PhD – AHRQ CCM Toolkit and Coaching

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